Provider Demographics
NPI:1205551751
Name:TUBBS, SHERMEKA LEANDRA (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:SHERMEKA
Middle Name:LEANDRA
Last Name:TUBBS
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:SHERMEKA
Other - Middle Name:
Other - Last Name:TUBBS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSN, APRN, FNP-BC
Mailing Address - Street 1:5017 ALEJANDRO WAY
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89031-2503
Mailing Address - Country:US
Mailing Address - Phone:702-759-3995
Mailing Address - Fax:
Practice Address - Street 1:3186 S MARYLAND PKWY
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89109-2306
Practice Address - Country:US
Practice Address - Phone:702-961-5000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-06
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV860221363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily